Discoloured Centrals Incisors with Jason Smithson – PDP191

The secret to success with non-vital bleaching is knowing when it’s not going to work. Dr Jason Smithson shares his decision making in discoloured incisors AND the protocols he uses in their management. When is a purely restorative approach more appropriate than bleaching? When is ceramic preferred to composite? What is the best way to mask a metal post? https://youtu.be/r59gt8g1niU Watch PDP191 on Youtube Listen/Watch this episode which reveals all! This episode is eligible for 1 CE credit via the Protrusive Guidance platform. Protrusive Dental Pearl: To help achieve great shade selection, take pictures sequentially during your assessment and throughout the procedure, then edit the pictures to show as black and white. By analysing the shade match through a black and white process and in steps throughout the treatment, the shade selection will be far more accurate than just attempting this once at the beginning, especially without using the black and white technique, as this will emphasise the value of the shade Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 01:56 Protrusive Dental Pearl03:15 Introduction - Dr Jason Smithson05:30 Biomimetic Dentistry14:50 Non Vital Bleaching24:55 Calcific Metamorphosis28:30 Ceramic or Composite Resin31:17 Deeper Dive into Ceramic Use32:55 Composite veneers40:35 Perfecting Shade43:40 Jason’s Courses Access the CPD quiz either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you liked this episode, you will also like The ‘Anti-Biomimetic Dentist’ – Restorative Lessons from Pasquale Venuti Part 1 – PDP152 – Protrusive Dental Podcast Click below for full episode transcript: Jaz's Introduction: One of the most common questions we get on Protrusive is how do you manage the discoloured central incisor? Now, we already have episodes on the non vital bleaching technique. Jaz's Introduction:In fact, it's a two part absolute ripper. But sometimes we experience relapse or we find a case where perhaps it's too risky to try non vital bleaching and we want to manage this restoratively. So I brought on once again, Dr Jason Smithson you probably already know who this is If you don't you probably live under a rock somewhere. He's one of the greatest dentists ever and he's taught me so much of what I know. I'm constantly learning more and more from him. In fact, even in this episode, he taught me so, so much. I know you're going to gain so much from this. Hello, Protruserati. I'm Jaz Gulati, recording at my in law's place at the moment, in the loft, because it is half term. The kids are off, but I so badly wanted to record this. So my wife has given me a permit to do this podcast with Dr. Jason Smithson. The kind of themes you cover are when do you know not to even attempt non lethal bleaching, and perhaps a restorative technique will be better? When to veneer versus when we should actually be crowning. I know crown is like a dirty word, but actually, you'll see that there is still a place for the crown. Revisit the composite versus ceramic debate when it comes to restoring that discolored central incisor. And this entire episode is sponsored by Sprinkled With gems and pearls from Jason. Denta Pearl:The Protrusive Dental Pearl I have for you is taken from this episode. Now, you may already be familiar with the protocol of taking a black and white photo of the anterior teeth that you're restoring because it helps you to appreciate the value, the brightness of the tooth. And sometimes we use the composite button technique. I.e we put a small little button of composite on the facial of an incisor to see which button of composite, different shades of composite best matches the shade of your tooth. Now, if you listen to the end of the episode,